Deep Dive Great Eastern suspends Mount Elizabeth pre-authorisation - time to relook how health insurance is managed?
Jun 26, 2025
Join Associate Professor Jeremy Lim from the Saw Swee Hock School of Public Health and health services consultant Dr. Yoong Siew Lee as they dissect Great Eastern's recent suspension of pre-authorization at Mount Elizabeth hospitals. They delve into the complexities of health insurance, discussing rising medical costs, the nuances of pre-authorization, and the anxiety faced by patients navigating their coverage. With insights on the future of healthcare finances and the critical need for clearer communication from insurers, this conversation sheds light on an evolving landscape.
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Pre-Authorization Explained
- Pre-authorization is a service insurers offer to guarantee payment for planned hospital admissions up to an approved sum.
- It reduces patient stress by assuring coverage but adds cost and administrative burden for insurers.
Controversy Over Hospital Pricing
- Insurers like Great Eastern argue some hospitals charge 20-30% more for same treatments with similar outcomes.
- Without transparent data comparing adjusted cases, it's hard to confirm such claims objectively.
Why Hospital Charges Differ
- Hospital charges vary due to different service levels and facilities, such as bed types and operating theatre fees.
- This variation is why some insurers offer tiered insurance plans linked to hospital access and premiums.